Nasopharyngeal masses in young males can be benign or malignant. As the treatment regimen for these masses differs considerably, it is up most important to differentiate benign from malignant masses before deciding in treatment of patients and also for minimizing morbidity from unnecessary interventions. We hereby present a case with nasopharyngeal carcinoma (NPC) mimicking juvenile nasopharyngeal angiofibroma (JNA). This case initially presented as JNA and to reveal NPC on final histopathology report. As JNA was the initial provisional diagnosis an imaging was done prior to any tissue biopsy. It might had safe the patient's life as a biopsy might be catastrophic. The aim of our case report is to highlight the importance of complete clinical examination and preoperative imaging in differentiating and ideal management of nasopharyngeal masses.